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HomeMy WebLinkAbout1635 SANDALWOOD LN; ; CB053941; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ,l 1-14'-2005 Plumbing Permit Permit No: CB053941 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1635 SANDALWOOD LN CBAD PLUM Status: Parcel No: 2051305100 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: PAYNE RES-COPPER REPIPE Inspect Area: Applicant: ANDERSON PLUMBING INC,WALTER 1150N MARSHALL EL CAJON, CA 92020 619-449-3852 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES 0 0 0 1 0 0 0 Owner: PAYNE WESLEY T&RACHEL 1635 SANDALWOOD LN CARLSBAD CA 92008 ISSUED 11114/2005 LSM 11114/2005 1111412005 $20.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $33.00 $0.00 $0.00 $0.00 $60.00 Total Fees: $60.00 Total Payments To Date: $60.00 Balance Due: Inspector: Date· Clearance: $0.00 approval of your project includes the • mposilion" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this pennit was issued lo protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required infonnation with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or se1Vice fees in connection with this project. NOR DOES IT APPLY lo any f f hi h n N Tl E imil r hi h f limi i n h ·r PERMIT APPLICATION CffY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Ln FOR OFFICE USE ONLY PLAN CHECK NO. (!,8 {) 5 39 c../ / EST. VAL.-~-.....--~---- Plan Ck. Deposit---~~"""""------ Validated By ___ ~-i=--°"-,-~---- Date. ___ ....:.1....:.)-+\,....:...llf-'-+-fa==---- Business Name (at this address) Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use Proposed Use sa. FT. #of Stories # of Bedrooms # of Bathrooms City 0 £\gent for Owner City State/Zip State/Zip Telephone# Fax# Telephone# i ;_;,,_,...., _______ ~-------------------· ~----~ (Sec. 7031.6 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exempiion. AnyA,iolation of Section 7031.6 by an~ applicant ~ pN mit su~ects the app ·cant to a civil penalt~: not more t an f~e hu~ted$11ars ($5001). Designer Name Address City State/Zip Telephone State License ',;:;;;;;;:;:;;;;;:;;;:;:;;:;:;;;;;:;;;;;;;;;;:_....,_.. ___ _ ~~m,~.._. ___ ,,. __________ ., __ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. . 'filf I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is ~ued. My worker's compensation Insur nee carrier and policy number are: Li ': ~-{o ~ Insurance Company ..lS!!iid.!~~Q~:...LlL____________ Policy No. \JJ 'i1~ 7 0 C\. :l Expiration Date. _ _;. -r'_,;__,.Q,._ __ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNINO: Fllllure to secure worltara' companaatlon coverage 11 unlawful, and lhal 1ubjact an employer to criminal panaltlaa and clvll flnaa up to one hundred thouaand doUar1 ($100,000), In addition to the coat of companaatlon, damagaa aa provided for In Section 3706 of the Labor code, lntera1t and attomey'1 feaa. SIGNATURE DATE E I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor' a License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have con_tracted _with the following·person (firm) to provide the proposed construction (include name/ address/ phone number/ contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number): ______________________________________________ _ 6. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work):. _________________________________________________________ _ PROPERTY OWNER SIGNATURE ~ -SC Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26606, 26533 or 26634 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 O YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. OAllRY~~-DtNQ AO~CJ' V _ • .a. ................. ...li-""""'-'"'-''•• -~,--~~~~ ~ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME ~~~ii~\ic ::::~~i:z:~i=~i~i;~:Li:E:N;D:E:R'_S_A_DDRESS ...,'81:13-~C= I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and Stete laws relating to building construction. I hereby euthorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit Is required for excavations over 6'0· deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit Issued by the building Official under the provisions of this Code shall expire by limilation and become null and void if the building or worl< authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is ~period of 1~0 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ~ DATE __._l...:.\_,/ ..... 8'""'---Jf ... o=-.s ....... ____ _ WHITE: File YELLOW: Applicant PINK: Finance m -City of Carlsbad Bldg Inspection Request For: 11/15/2005 Permit# CB053941 Tille: PAYNE RES-COPPER REPIPE Description: Type: PLUM Sub Type: Job Address: 1635 SANDALWOOD LN Suite: Lot 0 Location: APPLICANT ANDERSON PLUMBING INC,WAL TER Owner: PAYNE WESLEY T&RACHEL Remarks: Total Time: CD Description Act Comment Phone: 8582929228 Inspector: ---- Requested By: BRANDY Entered By: JANEAN 24 Rough/Topout __Jxt2 ---__________ _:_1_._-_------------------- Comments/Notices/Hold Associated PC Rs/CVs Inspection History Date Description Act lnsp Comments